Department of Health Services

State of Wisconsin

Official Website: http://dhs.wisconsin.gov

The Department of Health Services (DHS) is one of the largest and most diverse state agencies in Wisconsin, with an annual budget of roughly $11.5 billion and more than 6,100 employees. DHS is committed to protecting and promoting the health and safety of the people of Wisconsin, making sure everyone can live their best life.

Forms & Documents

Browse all Department of Health Services government forms

441 - 460 of 1488 forms

Form Title Topics
Early Childhood Caries Prevention Screening Health Services, DPH, DPH
Early Intervention Team Report / Wisconsin Early Intervention Eligibility Determination (IFSP Health Services, DMS, DMS
Education - Medication Summary - Part A Health Services, DPH, DPH
Education - Medication Summary - Part B Health Services, DPH, DPH
Effective 01/01/2016: Prior Authorization / Preferred Drug List (PA/PDL) for Belsomra Health Services, DMS, DMS
Effective before 04/01/2017: Prior Authorization / Brand Medically Necessary Attachment (PA/BMNA Health Services, DMS, DMS
Effective for Use On or After July 1, 2016: Completion Instructions Health Services, DMS, DMS
Effective for Use On or After July 1, 2016: Prior Authorization / Preferred Drug List (PA/PDL) for Hypoglycemics, Insulin Long-Acting Health Services, DMS, DMS
Effective on or after 04/01/2017: Completion Instructions Health Services, DMS, DMS
Effective on or after 04/01/2017: Completion Instructions Health Services, DMS, DMS
Effective on or after 04/01/2017: Compound Drug Claim Health Services, DMS, DMS
Effective on or after 04/01/2017: Noncompound Drug Claim Health Services, DMS, DMS
Effective on or after 04/01/2017: Prior Authorization/Brand Medically Necessary Attachment (PA/BMNA Health Services, DMS, DMS
Elder Adults/Adults-at-Risk Agency Conflict of Interest Notification and Transfer of Investigation Powers Health Services, DPH, DPH
Emergency Care - Do Not Resuscitate Order (DNR Health Services, DPH, DPH
Emergency Medical Service (EMS) Provider Application and Operational Plan Health Services, DPH, DPH
Emergency Medical Services Complaint Health Services, DPH, DPH
Emergency Medical Services (EMS) Patient Care Worksheet Health Services, DPH, DPH
Emergency Medical Service Training Center Certification Application Health Services, DPH, DPH
Emergency Medical Service Training Center - Training Permit Eligibility Certification Health Services, DPH, DPH

Contact Information & Office Locations

1 contact point

Headquarters

Address:
1 West Wilson Street
Madison, WI 53703

Phone numbers:
  • (608) 266-1865 (main line)
  • (800) 947-3529 (or 711 TTY)

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